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David G. Reichert 8th District, Washington Committee On Ways And Means Subcommittee on Trade Subcommittee on Oversight Subcommittee on Social Security

Washington Office: 1730 Longworth House Office Building Washington, DC 20515-4708 Telephone: (202) 225-7761 Fax: (202) 225-4282

District Office 2737 78th Avenue SE, Suite 202 Mercer Island, WA 98040 Telephone: (206) 275-3438 Toll Free: (877) 920-9208 Fax: (206) 375-3437 www.house.gov/reichert

Congress of the United States House of Representatives Washington, DC 20515-4708

October 15, 2009

Thomas C. Nelson Chief Operating Officer AARP 601 E Street NW Washington, DC 20049

Dear Mr. Nelson: Thank you for your recent response to my questions regarding AARP’s support for the current health care proposals. Though I appreciate your prompt reply, I found that many

of the answers failed to directly answer my questions about the potential conflict of interest in AARP’s advocacy for a bill that cuts billions of dollars from seniors’ Medicare benefits,

and I would like to take this opportunity for follow-up and clarification. You say that “AARP does not have access to which Medicare-eligible members are enrolled in a Medicare Advantage

plan.” It concerns me that you are strongly advocating for cuts to a program when you have no idea the extent to which these cuts will harm your membership. Please explain, in detail, your

advocacy for HR 3200 in light of your lack of information regarding the number of members the bill will affect. I also find it problematic given that, according to AARP’s most recent

financial statements, “Insurance premiums collected by the Plan [AARP Insurance Plan] are paid directly by participants.”1 After taking AARP’s slice of the premiums, the Plan then

distributes the monies to the appropriate insurance carriers. As AARP acts as the intermediary for collecting and paying insurance premiums on behalf of its members, how is it possible that

AARP does not have access to which of its members are enrolled in Medicare Advantage? You state: “AARP is not an insurance company,” yet 38 percent of your annual total operating revenue

came from United HealthCare. Comparatively, only 23 percent of your total operating revenue came from membership dues. All told, royalties represent 60 percent of AARP’s operating revenue.

This clearly shows that AARP is an organization dependent on insurance funds.2 If you are not an insurance company, as you claim, why are you collecting and holding premiums? Regarding

AARP’s royalty income, you provided the average income from 1999 through 2008. Please provide the royalty income received for each individual year, breaking out the portion of income that is

derived from AARP-branded Medicare Advantage plans, and then separately, the Medigap plans for each of those years. In a recent news article in The News Tribune, David Sloane, AARP’s Chief

Lobbyist stated AARP “would gladly forgo every dime of revenue to fix the health care system.” While I certainly applaud that statement, how can AARP continue to do business with a loss of

at least $339.7 million in revenue each year? In addition, you state that “whether private insurance plans choose to change their current benefit packages upon passage of a health reform

bill is a business decision they will have to make.” Will AARP continue to lend the AARP brand to – and collect royalty payments from – plans that increase premiums, increase cost-sharing,

decrease benefit options, or eliminate Medicare Advantage plans should the Medicare Advantage cuts included in the health care legislation that you support go into effect? Furthermore, B

loomberg News has reported that many AARP members have found insurance plans cheaper than AARP-endorsed insurance products. You are advocating cuts to Medicare Advantage plans in order to

bring payments in line with traditional Medicare. Please explain why AARP-sponsored plans are more expensive than others. While I can only hope it is because AARP is providing its members

with additional benefits – similar to what Medicare Advantage plans provide their beneficiaries – I would appreciate specific details. Finally, AARP has strongly advocated for health reform

legislation to close the “doughnut hole” in the Medicare Prescription Drug Plan. I have conducted research through the Medicare Plan Finder on www.medicare.gov which showed that not a single

AARP-endorsed plan offered coverage for brand name drugs when beneficiaries have exceeded the minimum coverage limit and have not yet reached the catastrophic coverage threshold. Is this

accurate? If not, what percentage of AARP-endorsed plans offer this coverage? Thank you for your prompt attention to these follow-up questions and comments. I request that you respond to my

questions, in writing, by October 30, 2009. Should you have any questions, you may contact Beth Nelson in my office ([email protected] or 202-225-7761).

Sincerely, David G. Reichert Member of Congress